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Array ( [id] => 985 [catid] => 191 [title] => 成人非心脏手术围术期血压评估与管理指南 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/985.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国老年医学学会医疗照护分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐监测围术期 收缩压、收缩压、平均动脉压 和脉压值, 避免依赖单次血压水平指导术前血压管理(I,A) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )
推荐意见
推荐监测围术期 收缩压、收缩压、平均动脉压 和脉压值, 避免依赖单次血压水平指导术前血压管理(I,A)

证据评价方法:

指南质量等级:B

年份:2023

国家:中国老年医学学会医疗照护分会

阅读
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推荐意见
高血压 1 级或 2 级患者无需推迟手术(I,A)

证据评价方法:

指南质量等级:B

年份:2023

国家:中国老年医学学会医疗照护分会

阅读
Array ( [id] => 987 [catid] => 191 [title] => 成人非心脏手术围术期血压评估与管理指南 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/987.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国老年医学学会医疗照护分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐收缩压高于 180 mmHg 和 / 或 舒张压高于 110 mmHg 可延迟择期手术(I,A) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )
推荐意见
推荐收缩压高于 180 mmHg 和 / 或 舒张压高于 110 mmHg 可延迟择期手术(I,A)

证据评价方法:

指南质量等级:B

年份:2023

国家:中国老年医学学会医疗照护分会

阅读
Array ( [id] => 988 [catid] => 191 [title] => 成人非心脏手术围术期血压评估与管理指南 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/988.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国老年医学学会医疗照护分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 患者收缩压高于 180 mmHg 和 / 或舒张压高于 120 mmHg 且合并终末器官损害时,推荐取消择期手术并立即住院治疗 高血压急症(I,C) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )
推荐意见
患者收缩压高于 180 mmHg 和 / 或舒张压高于 120 mmHg 且合并终末器官损害时,推荐取消择期手术并立即住院治疗 高血压急症(I,C)

证据评价方法:

指南质量等级:B

年份:2023

国家:中国老年医学学会医疗照护分会

阅读
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推荐意见
推荐长期服用 β 受体阻滞剂的患者, 围术期继续使用 β 受体阻滞剂(I,A)

证据评价方法:

指南质量等级:B

年份:2023

国家:中国老年医学学会医疗照护分会

阅读
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推荐意见
推荐在非心脏手术前 24 h 内不新增使用 β 受体阻滞剂 (I,A)

证据评价方法:

指南质量等级:B

年份:2023

国家:中国老年医学学会医疗照护分会

阅读
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推荐意见
推荐围术期患者有≥3 个改良心脏危险指数(RCRI) 风险因素高危患者,于术前超过 1 周开始使用 β 受体阻滞剂 (IIa,C)

证据评价方法:

指南质量等级:B

年份:2023

国家:中国老年医学学会医疗照护分会

阅读
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推荐意见
非心脏手术前 24 h 停用 ACEI/ARB,如果患者血液动 力学稳定,则在手术后第 2 天重新开始 ACEI/ARB(I,A)

证据评价方法:

指南质量等级:B

年份:2023

国家:中国老年医学学会医疗照护分会

阅读
Array ( [id] => 993 [catid] => 192 [title] => 成人非心脏手术围术期血压评估与管理指南 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/993.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国老年医学学会医疗照护分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 不建议使用钙离子拮抗剂(CCB)以防止围术期心血管 事件。 长期规律口服治疗剂量的 CCB 对血流动力学无明显 影响,且能增强静脉麻醉药物、吸入麻醉药物、肌松药物和镇 痛药物的作用,故不推荐在术前停药(IIa,C) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )
推荐意见
不建议使用钙离子拮抗剂(CCB)以防止围术期心血管 事件。 长期规律口服治疗剂量的 CCB 对血流动力学无明显 影响,且能增强静脉麻醉药物、吸入麻醉药物、肌松药物和镇 痛药物的作用,故不推荐在术前停药(IIa,C)

证据评价方法:

指南质量等级:B

年份:2023

国家:中国老年医学学会医疗照护分会

阅读
Array ( [id] => 994 [catid] => 192 [title] => 成人非心脏手术围术期血压评估与管理指南 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/994.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国老年医学学会医疗照护分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐术前 2 ~ 3 d 停用利尿剂, 使用利尿剂期间监测 电解质。 [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )
推荐意见
推荐术前 2 ~ 3 d 停用利尿剂, 使用利尿剂期间监测 电解质。

证据评价方法:

指南质量等级:B

年份:2023

国家:中国老年医学学会医疗照护分会

阅读